How can we design, deliver and evaluate healthcare services so they’re more likely to succeed, sustain benefit, and scale?
That’s the question Build. Transform. Last. answers. BTL Foundation is coming soon, and it’s where you start.
01
Study
Ten modules,
a workbook for each
a workbook for each
02
Assess
60 questions,
online
online
03
Certified
BTL Foundation
Certificate
Certificate
Self-paced · around 16 hours of study
BTL Foundation
Foundation gives healthcare professionals, service managers and leads a working understanding of the Build. Transform. Last. philosophy, and a certificate to show for it.
BTL Foundation
£495
Or pay in three monthly instalments of £175£525 in totalIntroductory price until 31 March 2027, then £595 (or three instalments of £205)
Understand the philosophy
- Ten self-paced modules: an introduction, one for each of the eight principles, and a closing module on the ninth lens, the hero problem and the Evidence Future Ready Model
- Around 16 hours of study, at your own pace
- A workbook for every module, ten in all
- Includes a digital copy of Build. Transform. Last.
- Online assessment: 60 multiple-choice questions, 90 minutes, pass mark 70%
- Instant result: your score, with a review of which answers were right and wrong
- BTL Foundation Certificate, awarded by EFRM Consulting Ltd, plus entry on the BTL Certificate Register
- No live project and no prior qualifications required
- Supports your CPD portfolio (CPD Standards Office accreditation pending)
Enrolment opens 1 December 2026 · course opens 11 January 2027
Join the priority listBTL Foundation at a glance
Everything you need to know before you enrol.
| BTL Foundation | |
|---|---|
| Price | £495 introductory price until 31 March 2027, or three monthly instalments of £175 (£525 in total). From 1 April 2027: £595, or three instalments of £205 (£615 in total) |
| Opens | Enrolment opens 1 December 2026; course opens 11 January 2027 (rolling enrolment) |
| Delivery | Online and self-paced |
| Modules | Ten: an introduction, one for each of the eight principles, and a closing module on the ninth lens, the hero problem and EFRM |
| Study time | Around 16 hours of online study, plus 3–4 hours reading the book |
| Workbooks | One for every module (ten in all) |
| The book | Digital copy of Build. Transform. Last. included |
| Assessment | 60 multiple-choice questions, 90 minutes, taken online and unsupervised. Pass mark 70%. |
| Result | Instant: your score, with a review of which answers were right and wrong |
| Retakes | Up to two, with a 14-day gap between attempts. £150 per retake. |
| Certificate | BTL Foundation Certificate, awarded by EFRM Consulting Ltd and emailed within 5 working days of your result. Does not expire. |
| Register | Your name and certificate number are added to the BTL Certificate Register, so employers can verify your award |
| CPD | Accreditation by the CPD Standards Office is pending |
| Entry requirements | None. No live project is needed. |
Who is BTL Foundation for?
“I want a shared language for designing better services.”
Designed for
Healthcare professionals
Pharmacists, pharmacy technicians, nurses, allied health professionals and clinical leads
“I lead improvement, change or programmes.”
Designed for
Managers and programme leads
Service improvement, transformation, project and programme managers
“I commission, lead or research healthcare services.”
Designed for
Commissioners, leaders and researchers
Commissioners, integrated care leads, NHS and HSC leaders, academic and research staff